| NPI | 1235155656 |
|---|---|
| Former Name | REGINA BIERBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 10448) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7210) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-05-15 |